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What Is Memory Care?

Learn about memory care in this article—including specialized services, safety measures, staff training, and factors to consider in choosing the right memory care facility for your loved one.
Published on
November 28, 2023
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Does your loved one have dementia or Alzheimer's? Progressive diseases like Alzheimer's and other forms of dementia require increased caregiving as the condition worsens. During the early stages, a person might live independently or only require a little help at home. As the condition progresses, they may need round-the-clock caregiving and medical support for their safety and quality of life. That's where memory care facilities come in. 

The path of dementia: from home to long-term care

In the early stages of Alzheimer's or dementia, individuals should stay in their familiar surroundings and retain their independence. But as the disease progresses, even simple tasks become challenging, and disorientation can pose a risk. This is where specialized residential settings provide the necessary support and care for those with cognitive impairment.

Caring for a family member with memory problems can be overwhelming and exhausting for the caregiver. Memory care facilities offer a supportive environment with trained staff, providing much-needed medical care, social interaction, and peace of mind. 

While it can be a difficult decision to make, placing a loved one in long-term care may be the best option for ensuring that they receive the care they need.

What is memory care?

Memory care is a form of long-term care to meet the needs of individuals with memory-related conditions, such as Alzheimer's disease and other forms of dementia. This type of care involves creating a secure and structured environment that focuses on maintaining residents' cognitive and functional abilities and supporting their emotional and physical well-being.

Memory care facilities often employ staff trained in dementia care, utilize specialized programming and activities tailored to the residents' cognitive abilities, and incorporate safety measures to address the challenges of memory loss. Memory care aims to enhance the quality of life for individuals with memory disorders while offering a supportive and compassionate environment for residents and their families.

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What services are provided in memory care?

Memory care services are designed to cater specifically to the needs of individuals with memory-related conditions, such as Alzheimer's disease or other forms of dementia. These services aim to enhance the quality of life for residents while providing a secure and supportive environment. Here are the standard services offered in memory care:

  1. Safety and security: Memory care facilities often have secure entrances and exits to prevent wandering, a typical behavior in individuals with dementia. The environment is designed to minimize safety risks and promote a sense of security.
  2. Specialized staff training: Personnel in memory care facilities typically undergo specialized training in dementia care. This training helps staff members understand the unique challenges associated with memory loss and provides them with the skills to offer appropriate support.
  3. Structured environment: A structured daily routine and environment can help individuals with dementia feel more secure and engaged. Memory care facilities often provide organized daily activities, including cognitive exercises, physical activities, and social interactions.
  4. Personalized care plans: Each resident typically has an individualized care plan that addresses their needs, abilities, and preferences. This plan may cover medical care, assistance with activities of daily living, and social engagement.
  5. Medication management: Memory care staff can assist with medication management, ensuring that residents take their prescribed medications at the right times and in the correct doses.
  6. Nutritious meals: Memory care facilities provide well-balanced and nutritious meals tailored to residents' dietary needs and preferences. Special attention is given to any swallowing or nutritional issues that may be present.
  7. Family involvement: Many memory care facilities encourage family involvement and provide support services for families dealing with the challenges of caring for a loved one with dementia.
  8. Memory enhancement programs: Cognitive stimulation is critical to memory care. Activities and programs are designed to engage residents' cognitive abilities, memory, and creativity.
  9. 24-hour supervision: Memory care facilities typically offer around-the-clock supervision to ensure the safety and well-being of residents, as individuals with dementia may experience sleep disturbances or confusion at any time.
  10. Therapeutic interventions: Some memory care facilities incorporate therapeutic interventions, such as music or art therapy, to promote emotional well-being and improve residents' overall quality of life.

Specific services and amenities can vary among memory care facilities, so families should carefully research and visit facilities to ensure they meet the unique needs of their loved ones.

Memory care vs. Assisted living

Memory care is like assisted living in that they are both forms of long-term care, but they cater to different needs, and there are key distinctions between them.

Memory care is designed for individuals with memory-related conditions, such as Alzheimer's or dementia, and provides a more specialized and structured environment to support their unique challenges. Memory care facilities often have additional security measures, trained staff in dementia care, and tailored activities to address cognitive impairments.

On the other hand, assisted living is a more general form of care that supports individuals with activities of daily living (ADLs), offering assistance with tasks like bathing, dressing, and medication management. While assisted living facilities may provide some memory support, they typically offer a different level of specialized care and security features than dedicated memory care units. 

Is your loved one ready for memory care?

Determining whether a loved one is ready for memory care involves considering various factors related to their cognitive, emotional, and physical well-being. Signs that may indicate a need for memory care include:

  1. Memory loss: Persistent and significant memory loss that affects daily life, such as forgetting names, getting lost in familiar places, or neglecting personal hygiene.
  2. Safety concerns: If your loved one's safety is compromised due to wandering, inability to handle household tasks, or forgetting to turn off appliances.
  3. Changes in behavior: Noticeable shifts in behavior, mood, or personality, such as increased agitation, confusion, or withdrawal from social activities.
  4. Caregiver stress: If the primary caregiver is experiencing significant stress, burnout, or struggles to meet the increasing care demands.
  5. Decline in functional abilities: Difficulty performing basic activities of daily living, such as dressing, eating, or bathing.
  6. Medical recommendations: If healthcare professionals, such as doctors or specialists, recommend a higher level of care due to the progression of a memory-related condition.
  7. Social isolation: Withdrawal from social interactions and declining ability to engage in meaningful conversations or activities.

Involve healthcare professionals, such as geriatricians or neurologists, in the assessment process. They can provide insights into the specific needs of your loved one and help guide decisions about transitioning to memory care. Additionally, discussions with family members and close friends can provide valuable perspectives on your loved one's well-being.

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How to choose a memory care facility

Choosing a memory care facility for a loved one is a significant decision that requires careful consideration. You can start your search using resources like the Alzheimer's Association (alz.org) and AARP's nursing home selector tool. 

Assess your loved one's needs

Understand your loved one's specific needs, considering factors such as the stage of dementia, medical requirements, and personal preferences. This assessment will help you identify facilities that can meet their unique needs.

Visit the facilities

Tour potential memory care facilities and observe the overall atmosphere, cleanliness, and safety features. Pay attention to the interactions between staff and residents. Ask questions about the staff-to-resident ratio, staff training in dementia care, and the facility's approach to managing challenging behaviors.

Evaluate staff training

Ask about staff training programs in dementia care. Knowledgeable and well-trained staff can significantly impact the quality of care provided to individuals with memory-related conditions.

Review safety measures

Ensure the facility has safety features, such as secure entrances and exits, to prevent wandering. Check for emergency response systems and protocols to handle various situations that may arise.

Check activities and programs

Consider the variety and appropriateness of activities and programs offered. A well-rounded program should include cognitive stimulation, physical activities, and social engagement to enhance residents' quality of life.

Consider location

Choose a facility that is convenient for family members to visit regularly. Consider the proximity to hospitals or medical facilities in case of emergencies. Evaluate the accessibility of the facility for family members and friends.

Review contract and fees

Carefully review the contract and fees associated with the memory care facility. Understand the cost structure, services covered, and any additional fees. Clarify the policies on payment, refunds, and changes in care needs.

Ask about family involvement

Inquire about the facility's approach to family involvement. A supportive and communicative relationship between the facility and the resident's family is essential for the well-being of your loved one.

What does memory care cost? 

With specialized staffing and programming, monthly fees average from $4,500 to over $9,000 based on location and services. This is higher than standard assisted living. Medicaid pays for those eligible. Veterans benefits help some. Long-term care insurance may provide limited support. For private pay, financial planning expertise helps protect assets.

What is the monthly cost of caring for a patient with dementia?

Caring for a care recipient with dementia can be financially and emotionally demanding. If home care is needed, it may cost $25-$40 per hour, adding up quickly for full-time care. Costs can be higher in some areas.

Dementia care costs pile up quickly. Direct expenses like caregivers, home modifications, and medications are pricey. Family caregivers face indirect costs like lost wages and emotional/physical strain.

Will Medicare pay for a person with dementia?

Medicare provides coverage for hospital stays, doctor fees, tests, and prescription drugs for people aged 65 and above with Alzheimer's or dementia. However, Medicare covers up to only 100 days of nursing home care, and this is only under limited situations. Always review the terms and limitations of Medicare coverage regarding Alzheimer's or dementia.

Does Social Security cover dementia?

Social Security disability money can be significant for people who get dementia at a young age. This is before age 65. But these folks often get told "no" when they apply for help.

Getting approved for a disability with dementia can be challenging. But giving up too fast means missing out on income and medical coverage that Social Security gives. With a complicated disease like dementia, getting the right doctors and lawyers on your team makes getting approved more likely.

Don't give up if you get told "no." Ask for advice from people who know dementia and disability rules. Reapply or fight the decision. This makes a big difference when times are already tough. Getting the disability money you deserve matters. Ask for help to get needed support.

What happens to dementia patients with no money?

Those without saved money have some care options, but they are limited. In many places, there are government-sponsored programs, nonprofit organizations, and community services aimed at assisting individuals with dementia who have limited financial means.

  • Medicaid, a joint federal and state program, offers health coverage for low-income people, including long-term care services, with eligibility criteria varying by state.
  • Local communities may provide assistance through senior centers, community health clinics, or nonprofit organizations.
  • Informal caregiving support from family members, friends, or community networks is also possible.
  • Charitable organizations and nonprofits specializing in dementia care may offer resources and financial assistance.
  • Government-funded nursing homes or long-term care facilities may accept individuals with limited financial resources, although availability can vary.

Seeking guidance from social workers or local health departments can help navigate the specific resources and support services available in the United States.

A challenging but loving decision

As dementia gets worse, going to memory care becomes necessary, even though that decision can be difficult. Specially designed care for memory loss provides meaningful activities. It improves life while easing the burden on families unable to keep up with caregiving. Put your loved one's well-being first by getting the proper support, even when it's hard. Find the best solution during this challenging time in the dementia journey. You are not alone.

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